2008-01203CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
0S 1 2Yn-S000 N AN: f /0S 1 Lys-44U4
ADDRESS 6291 86TH ST NE
PIN 155186001040
LEGAL DESC CARLISLE VILLAGE 3RD ADDN
LOT 004 BLOCK 001
PERMIT TYPE BUILDING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE ROOFING
VALUATION $ 8,000.00
NOTE: FINAL. INSPECTION TO BE CALLED IN A MAXIMUM OF 48 HOURS AFTER COMPLETION
APPLICANT
DEAN CROAT CONSTRUCTION
19054 EMERSON ROAD
CLEARWATER, MN 55320-
320) 980-0191
OWNER
CONTONS,MATTHEW & KRISTIN
6291 86TH ST NE
MONTICELLO, MN 55362-
AGREEMENT AND SWORN STATEMENT
I agree that the work will be conducted in conformance with
the ordinances of the City of Monticello and with the
Minnesota State Building Code. I understand that the work
will be in accordance with the plan that has been approved by
the Building Official. I agree that any damage caused to
public property including but not limited to curb sidewalk,
public utilities and signs will be repaired at my expense
Applicant
Date
Bldg Official Date
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2 0 0 8- 0 1 2 0 3
DATE ISSUED: 07/18/2008
BUILDING PERMIT FEE
STATE SURCHARGE, BLDG VAL
TOTAL
Payment(s)
CHECK 3695
162.45
4.00
166.45
166.45
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NIONTICELLO
DEVEL01"MENT SERVICES
W '11 DING INSITCTIC)NS
WkAl,NU"I M RI:I "I. SUI hP: 1
1ON 1 1('1:(.I O VV'
Building, Inspections (7/61) 295-_060 Fax
BUILDING PERMIT APPLICATION
Plcacc Print - PNCON111ITTF. APPLKATIONS W1LL NOT BE ACCUTFD.
tirrF: 1)1)R1`1sS: %/ c`l_ ' s r2 - --- - ZONED -
t \ Lol 131t)cl; Plat
Property (hi ner Name:
City. State:
Crrntractor Namc:
f t- y Phone:
1-- CIt - State: I - z
rchitect Narnc: Phonc:
Statc: Ih
Plumher Name: Phon(2:
idres< City: Ip
Nlcelmnicarl Name: Phonc:
Clt\ tatc. I:
I_ Lic of \N o r k Type of Construction Buildin<,t Information
Nc Sin(-1lc [ sc of huildi11L
Duple of stories
lter)tirn Multi-Famil_ Floor area scl. ft.
Rcn tir Commercial Estimated value''_-
Ire e Industrial of construction
I Residential (iarauc Is this a ",11.ister Plan" Per 111\ 12n1r
J Other 1300,0160 Suhp.6.° El N 7Nn
Dcscrip/tion of v ork: `^
I ]()I) i dr crihcd and ackllo%c cdLc that the information I huvc Ism, idcd nhmc , „)'Iw _
n iu led in onlonn:rncc with the oldinnncc of the City of Vonuccllo an,i ,cillr Ilia I ,1v,, „i
phi, ahhlicatioii 1, ull ,1 hrrnnl and that the vwk is nol to t lrt \vithow r hermit I lurtlicr undcr l,i
11,11 11,1- iphnorcd hr the RuildinL, t>(licI'd I t,ercc that ,uu ,lamap,c :niti,l I hnhl
uhlic ntihtic::nu! ill he rclrtirrd at Ill', c\hcn c
CFI: BACK FOR I'Ll \tBl\t;
AND N JECHANICAI, INFO).
nnlirurt ILT11 nre :application Date
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